Dale Wayne Smith, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1036424 Issued in TX

Practice address

12404 Park Central Drive
Suite 150S
Dallas, TX 75251

Phone

(214) 695-8847

Fax

(214) 368-0653

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PT2 Sports LLC

  • Orthopedic Physical Therapist
  • Southlake, TX
  • NPI 1215167374
  NPD (past) Authorized official
• Orthopedic Physical Therapy Specialists P C

  • Physical Therapist
  • Dallas, TX
  • NPI 1972614030
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1821102765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670846",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753670846",
            "telephone_number": "214-695-8847",
            "fax_number": "214-368-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12404 PARK CENTRAL DRIVE",
            "address_2": "SUITE 150S",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75251",
            "telephone_number": "214-695-8847",
            "fax_number": "214-368-0653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1602 Hart Street",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "76092",
            "country_code": "US",
            "telephone_number": "214-695-8847",
            "fax_number": "214-368-0653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DALE",
        "middle_name": "WAYNE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1036424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "83367T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Smith, LCSW
• Courtney Smith, NP
• Craig Smith, CNIM
• Craig Douglas Smith, M.D.
• Cynthia L Smith, MD
• Dalton Ainsworth Smith, MOT,OTL
• Damarreon Smith
• Damus L Smith, LVN
• Danica Lee Smith, PHARMD
• David Michael Smith, TH.M., LPC, LMFT

• Orthopedic Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.